Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY K. FOSBERG, PT, DPT, PHD, OCS
Active Sole ProprietorDR. KELLY K. FOSBERG, PT, DPT, PHD, OCS is a Physical Therapy Assistant healthcare provider located in FLAGSTAFF, Arizona. NPI 1932135282 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1932135282
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2006 (19.949874153404 yrs)
- Last Updated
- Feb 24, 2026
- License
-
6966 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5200 E CORTLAND BLVD STE C1FLAGSTAFF, AZ, 860049341Browse AZ providers · Browse ZIP 86004
- Phone
- 9284405094
- Fax
- 9284405097
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| MARK W STATHAM | PT | 1922002831 |
| JOSEPH MICHAEL CARTER | PT, DPT | 1316941149 |
| VALERIE ANN CARTER | PT, DPT, NCS | 1528013919 |
| JAMES D MCCALLUM | DPT | 1750319372 |
| ERIN FLANAGAN GUINAN | DPT | 1881604262 |
| MRS. CHRISTIN S CLENDANIEL | PT, DPT | 1699882266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.